摘要
目的:研究黏膜下肌瘤宫腔镜电切术前腹腔镜结套扎的应用效果.方法:选取我院2018年1月~2019年12月收治的黏膜下肌瘤患者58例.按照随机数表法将患者分为两组,各29例.对照组给予宫腔镜电切术治疗,观察组给予宫腔镜电切术前行腹腔镜结套扎治疗.对两组患者膨宫液用量、术中出血量、手术时间、住院时间及临床疗效进行对比分析,并对其并发症发生率情况进行对比.结果:观察组患者手术时间、住院时间均明显短于对照组;术中出血量、膨宫液用量均明显少于对照组,差异有统计学意义.观察组总有效率明显高于对照组,并发症发生率明显低于对照组.结论:使用宫腔镜电切术前腹腔镜结套扎治疗黏膜下肌瘤临床疗效显著,可缩短恢复时间,降低患者术中出血量,改善预后,值得临床推广应用.
Objective To study the application effect of laparoscopic knot ligation before hysteroscopic resection of sub-mucosal myoma.Methods 58 patients with submucosal myoma in our hospital from January 2018 to December 2019 were se-lected.The patients were randomly divided into two groups,29 cases in each group.The control group was treated with hystero-scopic resection,and the observation group was treated with laparoscopic ligation before hysteroscopic resection.The amount of swelling fluid,intraoperative blood loss,operation time,hospital stay and clinical efficacy of the two groups were compared and analyzed,and the incidence of complications was compared.Results The operation time and the hospitalization time of the observation group were significantly shorter than those of the control group,the amount of intraoperative blood loss were sig-nificantly less than those of the control group.Compared with the control group,the observation group had a significantly higher total effective rate(96.55%vs 75.86%),and a significantly lower complication rate(3.45%vs 20.69%),and the differences were statistically significant.Conclusion The use of laparoscopic ligation before hysteroscopic electric resection has a significant clinical effect in the treatment of submucosal fibroids,which can shorten the recovery time,reduce the amount of bleeding dur-ing the operation,and improve the prognosis,it is worthy of clinical application.
作者
张园
张敏
Zhang Yuan;Zhang Min(Hospital of Jianghan University/Wuhan Sixth Hospital,Wuhan 430015,China)
出处
《湖南师范大学学报（医学版）》
2022年第3期163-166,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
黏膜下肌瘤
宫腔镜电切术
前腹腔镜
套扎
临床疗效
并发症
submucous myoma
hysteroscopic electrotomy
laparoscopy
ligation
clinical effect
complication
